{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,4]],"date-time":"2026-10-04T13:54:47Z","timestamp":1791122087495,"version":"4.1.0"},"reference-count":33,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T00:00:00Z","timestamp":1431648000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"National Health and Medical Research Council Postgraduate Medical and Dental Scholarship","award":["1018264 - KAB"],"award-info":[{"award-number":["1018264 - KAB"]}]},{"name":"Career Development Fellowship","award":["APP1037220- RNB"],"award-info":[{"award-number":["APP1037220- RNB"]}]},{"name":"Career Development Fellowship","award":["569605"],"award-info":[{"award-number":["569605"]}]},{"name":"Career Development Fellowship","award":["465128"],"award-info":[{"award-number":["465128"]}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Develop Med Child Neuro"],"published-print":{"date-parts":[[2015,11]]},"abstract":"\n Aim<\/jats:title>\n \n To determine the texture constitution of children's diets and its relationship to oropharyngeal dysphagia (\n OPD<\/jats:styled-content>\n ), dietary intake, and gross motor function in young children with cerebral palsy (\n CP<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Method<\/jats:title>\n \n A cross\u2010sectional, population\u2010based cohort study comprising 99 young children with\n CP<\/jats:styled-content>\n (65 males, 35 females) aged 18 to 36\u00a0months (mean age 27mo; Gross Motor Function Classification System [\n GMFCS<\/jats:styled-content>\n ] level I,\n n<\/jats:italic>\n =45;\n II<\/jats:styled-content>\n ,\n n<\/jats:italic>\n =13;\n III<\/jats:styled-content>\n ,\n n<\/jats:italic>\n =14;\n IV<\/jats:styled-content>\n ,\n n<\/jats:italic>\n =10; V,\n n<\/jats:italic>\n =17).\n CP<\/jats:styled-content>\n subtypes were classified as spastic unilateral (\n n<\/jats:italic>\n =35), spastic bilateral (\n n<\/jats:italic>\n =49), dyskinetic (\n n<\/jats:italic>\n =5), and other (\n n<\/jats:italic>\n =10), in accordance with the criteria of the Surveillance of Cerebral Palsy in Europe. Habitual dietary intake of food textures, energy, and water were determined from parent\u2010completed 3\u2010day weighed food records. Parent\u2010reported feeding ability of food textures was reported on the Pediatric Evaluation of Disability Inventory and a feeding questionnaire.\n OPD<\/jats:styled-content>\n was classified based on clinical feeding assessment using the Dysphagia Disorders Survey (rated by a certified assessor,\n KAB<\/jats:styled-content>\n ) and a subjective Swallowing Safety Recommendation (classified by a paediatric speech pathologist,\n KAB<\/jats:styled-content>\n ).\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Food\/fluid textures were modified for 39% of children. Children with poorer gross motor function tended to receive a greater proportion of energy from fluids (\n GMFCS<\/jats:styled-content>\n levels\n IV<\/jats:styled-content>\n \u2013V:\n \u03b2<\/jats:italic>\n =0.9,\n p<\/jats:italic>\n =0.002) in their diets and fewer chewable foods (level\n III<\/jats:styled-content>\n :\n \u03b2<\/jats:italic>\n =\u22120.7,\n p<\/jats:italic>\n =0.03; levels\n IV<\/jats:styled-content>\n \u2013V:\n \u03b2<\/jats:italic>\n =\u22121.8,\n p<\/jats:italic>\n <0.001) compared to level I to\n II<\/jats:styled-content>\n participants. Fluids represented a texture for which children frequently had\n OPD<\/jats:styled-content>\n and the texture most frequently identified as unsafe (or recommended for instrumental assessment).\n <\/jats:p>\n <\/jats:sec>\n \n Interpretation<\/jats:title>\n \n These findings indicate that swallowing safety, feeding efficiency, and energy\/water intake should be considered when providing feeding recommendations for children with\n CP<\/jats:styled-content>\n .\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1111\/dmcn.12796","type":"journal-article","created":{"date-parts":[[2015,5,15]],"date-time":"2015-05-15T11:11:05Z","timestamp":1431688265000},"page":"1056-1063","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":42,"title":["Food and fluid texture consumption in a population\u2010based cohort of preschool children with cerebral palsy: relationship to dietary intake"],"prefix":"10.1111","volume":"57","author":[{"given":"Katherine A","family":"Benfer","sequence":"first","affiliation":[{"name":"Queensland Cerebral Palsy and Rehabilitation Research Centre The School of Medicine The University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kelly A","family":"Weir","sequence":"additional","affiliation":[{"name":"Speech Pathology Department Royal Children's Hospital Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristie L","family":"Bell","sequence":"additional","affiliation":[{"name":"Queensland Cerebral Palsy and Rehabilitation Research Centre The School of Medicine The University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert S","family":"Ware","sequence":"additional","affiliation":[{"name":"Child Health Research Centre The University of Queensland Brisbane Qld Australia"},{"name":"School of Population Health The University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peter S W","family":"Davies","sequence":"additional","affiliation":[{"name":"Children's Nutrition Research Centre Queensland Children's Medical Research Institute The University of Queensland Brisbane Qld Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Roslyn N","family":"Boyd","sequence":"additional","affiliation":[{"name":"Queensland Cerebral Palsy and Rehabilitation Research Centre The School of Medicine The University of Queensland Brisbane Qld 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